NPI | 1710272026 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: OH COA.12652-NP) |
Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: UT 10814491-4405) |
163WC0200X Registered Nurse, Critical Care Medicine (Licence: OH RN194260) | |
Enumeration Date | 2011-06-15 |
Last Update Date | 2018-12-17 |